Functional Health Literacy in Patients With Glaucoma in Urban Settings

Juzych, Mark S; Randhawa, Sandeep; Shukairy, Aman; Kaushal, Padmini; Gupta, Anju; Shalauta, Nadia

doi:10.1001/archopht.126.5.718

Cited by 92 publications

(85 citation statements)

References 43 publications

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“…Those with poor health literacy are at higher risk for seeking emergency care, have more frequent hospital admissions with longer stays in the hospital [21], are prone to missing medical appointments, have poor compliance with treatment recommendations [1,5,18,39,44,51], and greater disease progression [28]. Patients typically have reading skills that are about five grades lower than the highest attained educational grade [26,31].…”

Section: Where Are We Now? the Patient And Societymentioning

confidence: 99%

Assessing Readability of Patient Education Materials: Current Role in Orthopaedics

Badarudeen

Sabharwal²

2010

Clinical Orthopaedics &Amp; Related Research

453

433

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Background Health literacy is the single best predictor of an individual's health status. It is important to customize health-related education material to the individual patient's level of reading skills. Readability of a given text is the objective measurement of the reading skills one should possess to understand the written material. Questions/purposes In this article, some of the commonly used readability assessment tools are discussed and guidelines to improve the comprehension of patient education handouts are provided. Where are we now? Several healthcare organizations have recommended the readability of patient education materials be no higher than sixth-to eighth-grade level. However, most of the patient education materials currently available on major orthopaedic Web sites are written at a reading level that may be too advanced for comprehension by a substantial proportion of the population. Where do we need to go? There are several readily available and validated tools for assessing the readability of written materials. While use of audiovisual aids such as video clips, line drawings, models, and charts can enhance the comprehension of a health-related topic, standard readability tools cannot construe such enhancements. How do we get there? Given the variability in the capacity to comprehend health-related materials among individuals seeking orthopaedic care, stratifying the contents of patient education materials at different levels of complexity will likely improve health literacy and enhance patient-centered communication.

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Section: Where Are We Now? the Patient And Societymentioning

confidence: 99%

Assessing Readability of Patient Education Materials: Current Role in Orthopaedics

Badarudeen

Sabharwal²

2010

Clinical Orthopaedics &Amp; Related Research

453

433

View full text Add to dashboard Cite

show abstract

“…Health literacy refers to how well patients comprehend health care information, and is defined as an individual's ability to read, understand, and use health care information to make effective health care decisions and follow instructions for treatment. 2 Low health literacy is associated with multiple negative outcomes, such as poor use of preventative care, [3][4][5] worse self-management of chronic disease, [6][7][8][9] incorrect medication use, [10][11][12] increased hospitalizations, 13 and all-cause mortality and cardiovascular death.…”

Section: Introductionmentioning

confidence: 99%

Inadequate Health Literacy Among Paid Caregivers of Seniors

et al. 2010

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BACKGROUND: Many seniors rely on paid non-familial caregivers to maintain their independence at home. Caregivers often assist with medication reminding and activities of daily living. No prior studies have examined the health literacy levels among paid non-familial caregivers. OBJECTIVES: To determine health literacy levels and the health-related responsibilities of paid non-familial caregivers of seniors. DESIGN: One-on-one face-to-face surveys. The Test for Functional Health Literacy (TOFHLA) was administered to identify health literacy levels. Caregivers were asked to demonstrate their skill in medication use by following directions on pill bottles and sorting medications into pill boxes. PARTICIPANTS: Ninety-eight paid unrelated caregivers of seniors recruited at physician offices, caregiver agencies, senior shopping areas, and independent living facilities. RESULTS: Average age of caregivers was 49.5 years, and 86.7% were female. Inadequate health literacy was found in 35.7% of caregivers; 60.2% of all caregivers made errors with the pillbox test medications, showing difficulty in following label directions. Health-related tasks (i.e., medication reminding, sorting, dispensing, and accompanying seniors to physician appointments) were performed by 85.7% of caregivers. The mean age of their seniors was 83.9 years (range 65-99 years), and 82.1% were female. CONCLUSION: Paid non-familial caregivers are essential for many seniors to remain independent and maintain their health. Many caregivers perform health-related duties, but over 1/3 have inadequate health literacy and have difficulties following medication-related instructions. Educating caregivers and ascertaining their health literacy levels prior to assigning health-related tasks may be an important process in providing optimal care to seniors.

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“…1,5 Additional studies have linked limited health literacy to misunderstanding instructions about prescription medication, medication errors, poor comprehension of nutrition labels, and mortality. 28,29,30,31,32,33 Limited health literacy has psychological costs. Adults with limited health literacy skills report feeling a sense of shame about their skill level.…”

Section: Health Literacy and Outcomesmentioning

confidence: 99%

“…However, library staff members, like health professionals and health providers, require additional training so they can respond appropriately to the health literacy needs of library patrons. 33 Health literacy intersects with information literacy, which is a set of abilities requiring individuals to recognize when information is needed and have the ability to locate, evaluate, and use effectively the needed information.…”

Section: ■ Health Care Team and Health Information And Library Profesmentioning

confidence: 99%

National Action Plan to Improve Health Literacy

2014

Encyclopedia of Health Communication

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Functional Health Literacy in Patients With Glaucoma in Urban Settings

Abstract: To assess the relationship between health literacy and compliance, disease awareness, and disease progression in patients with glaucoma.

Cited by 92 publications

References 43 publications

Assessing Readability of Patient Education Materials: Current Role in Orthopaedics

Assessing Readability of Patient Education Materials: Current Role in Orthopaedics

Inadequate Health Literacy Among Paid Caregivers of Seniors

National Action Plan to Improve Health Literacy

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